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MAN_AXQ-E10800-00
PROPRIETRAY INFORMATION AND SOFTWARE LICENSE
The Customer shall keep confidential all proprietary information furnished or disclosed to the
Customer by MEDISON, unless such information has become part of the public domain through
no fault of the Customer. The Customer shall not use such proprietary information, without the
prior written consent of MEDISON, for any purpose other than the maintenance, repair or
operation of the goods.
MEDISON’s systems contain MEDISON’s proprietary software in machine-readable form.
MEDISON retains all its rights, title and interest in the software except that purchase of this
product includes a license to use the machine-readable software contained in it. The Customer
shall not copy, trace, disassemble or modify the software. Transfer of this product by the
Customer shall constitute a transfer of this license that shall not be otherwise transferable. Upon
cancellation or termination of this contract or return of the goods for reasons other than repair or
modification, the Customer shall return to MEDISON all such proprietary information.
Declarations
This is CSA symbol for Canada and United States of America
This is manufacturer’s declaration of product compliance with
applicable EEC directive(s) and the European notified body.
This is manufacturer’s declaration of product compliance with
applicable EEC directive(s).
.
Safety Requirements
* Classifications:
- Type of protection against electrical shock: Class I
- Degree of protection against electrical shock (Patient connection): Type BF equipment
- Degree of protection against harmful ingress of water: Ordinary equipment
- Degree of safety of application in the presence of a flammable anesthetic material with
air or with oxygen or nitrous oxide: Equipment not suitable for use in the presence of a
flammable anesthetic mixture with air or with oxygen or nitrous oxide.
- Mode of operation: Continuous operation
* Electromechanical safety standards met:
- IEC/EN 60601-1 Medical Electrical Equipment, Part 1, General Requirements for Safety.
- IEC/EN 60601-1-1 Safety requirements for medical electrical systems.
- IEC/EN 60601-1-2 Electromagnetic compatibility -Requirements and tests.
- IEC 61157 Declaration of acoustic output parameters.
- ISO 10993-1 Biological evaluation of medical devices.
- UL 2601-1 Medical Electrical Equipment, Part 1, General Requirements for Safety.
- CSA 22.2, 601.1 Medical Electrical Equipment, Part 1, General Requirements for Safety.
READ THIS FIRST
▌ How to Use Your Manual
This manual addresses the reader who is familiar with ultrasound techniques. Only medical
doctors or persons supervised by medical doctors should use this system. Sonography training
and clinical procedures are not included here. This manual is not intended to be used as training
material for the principles of ultrasound, anatomy, scanning techniques, or applications. You
should be familiar with all of these areas before attempting to use this manual or your
ultrasound system.
This manual does not include diagnosis results or opinions. Also, check the measurement
reference for each application’s result measurement before the final diagnosis.
It is useless to make constant or complex adjustments to the equipment controls. The system
has been preset at the factory to produce an optimum image in the majority of patients. User
adjustments are not usually required. If the user wishes to change image settings, the variables
may be set as desired. Optimal images are obtained with little difficulty.
We are not responsible for errors that occur when the system is run on a user’s PC.
Please keep this user guide close to the product as a reference when using the system.
For safe use of this product, you should read ‘Chapter1. Safety’ in this manual, prior to
starting to use this system.
NOTE
Some features are not available in some countries. The features with
options, and specifications that this manual present can be changed
without notice. Government approval is still pending in some nations.
Conventions Used in This Manual
DANGER
Describes precautions necessary to prevent user hazards of great
urgency. Ignoring a DANGER warning will risk life-threatening injury.
WARNING
Used to indicate the presence of a hazard that can cause serious personal
injury, or substantial property damage.
CAUTION
Indicates the presence of a hazard that can cause equipment damage.
NOTE
A piece of information useful for installing, operating and maintaining a
system. Not related to any hazard.
System Upgrades and Manual Set Updates
MEDISON Ultrasound is committed to innovation and continued improvement. Upgrades may
be announced that consist of hardware or software improvements. Updated manuals will
accompany those system upgrades.
Verify that this version of the manual is correct for the system version. If not, please contact the
Customer Service Department.
If You Need Assistance
If you need any assistance with the equipment, please contact the MEDISON Customer Service
Department or one of their worldwide customer service representatives, immediately.
Table of Contents 1
TABLE OF CONTENTS
CHAPTER 1. SAFETY
SAFETY SIGNS......................................................................................................... 1-2
SAFETY SYMBOLS ................................................................................................................... 1-2
L
ABELS................................................................................................................................... 1-4
ELECTRICAL SAFETY.............................................................................................. 1-5
PREVENTION OF ELECTRIC SHOCK........................................................................................... 1-5
ECG-R
ELATED INFORMATION .................................................................................................. 1-6
ESD....................................................................................................................................... 1-7
EMI........................................................................................................................................ 1-7
EMC ...................................................................................................................................... 1-8
MECHANICAL SAFETY .......................................................................................... 1-14
MOVING THE EQUIPMENT....................................................................................................... 1-14
S
AFETY NOTE ....................................................................................................................... 1-14
BIOLOGICAL SAFETY ............................................................................................ 1-15
ALARA PRINCIPLE................................................................................................................ 1-15
ENVIRONMENTAL PROTECTION ......................................................................... 1-26
CHAPTER 2. INTRODUCTION AND INSTALLATION
WHAT IS ACCUVIX XQ?........................................................................................... 2-2
FEATURES AND ADVANTAGES OF ACCUVIX XQ ....................................................................... 2-2
SPECIFICATIONS..................................................................................................... 2-3
PRODUCT CONFIGURATION AND INSTALLATION............................................... 2-7
MONITOR................................................................................................................................2-7
C
ONTROL PANEL ..................................................................................................................... 2-9
C
ONSOLE ............................................................................................................................. 2-17
P
ERIPHERALS ....................................................................................................................... 2-21
P
ROBES ............................................................................................................................... 2-23
A
CCESSORIES....................................................................................................................... 2-24
O
PTIONS .............................................................................................................................. 2-25
ACCUVIX XQ Operation Manual
2
CHAPTER 3. SETTINGS
SELECTING PROBE AND APPLICATION ................................................................3-3
SELECTING PROBE, APPLICATION AND PRESET VALUES .............................................................3-3
E
DITING PROBE PRESET VALUES..............................................................................................3-4
ENTERING PATIENT INFORMATION ......................................................................3-5
REGISTERING NEW PATIENT .....................................................................................................3-5
S
EARCHING PATIENT INFORMATION...........................................................................................3-6
E
DITING PATIENT INFORMATION ................................................................................................3-8
M
ODIFYING MEASURE DATA .....................................................................................................3-8
GENERAL SETUP ...................................................................................................3-11
TITLE .................................................................................................................................... 3-11
D
ISPLAY ................................................................................................................................3-12
PERIPHERALS SETUP ...........................................................................................3-13
OPTION SETUP.......................................................................................................3-16
INFORMATION SETUP ...........................................................................................3-17
MISCELLANEOUS SETUP......................................................................................3-18
3D SETUP................................................................................................................3-21
LIVE 3D SETUP .......................................................................................................3-22
DICOM SETUP ........................................................................................................3-24
DICOM SETUP PROCEDURES................................................................................................3-24
DICOM
DEVICE SETUP .........................................................................................................3-25
SERVICE DIAGNOSTICS SETUP...........................................................................3-26
AUTO CALC SETUP................................................................................................3-27
STRESS ECHO SETUP...........................................................................................3-28
GENERAL SETTINGS FOR STRESS ECHO .................................................................................3-28
A
DVANCED SETTINGS FOR STRESS ECHO ...............................................................................3-30
MEASUREMENT SETUP ........................................................................................3-31
GENERAL ..............................................................................................................................3-32
O
BSTETRICS (OB) MEASUREMENT SETTINGS .........................................................................3-36
CARDIAC MEASUREMENT SETTINGS .......................................................................................3-41
V
ASCULAR MEASUREMENT SETTINGS .....................................................................................3-42
U
ROLOGY MEASUREMENT SETTINGS ......................................................................................3-43
Table of Contents
3
UTILITY SETUP ...................................................................................................... 3-44
B/W POST ............................................................................................................................ 3-44
C
OLOR POST ........................................................................................................................ 3-47
I
MAGE PRESET...................................................................................................................... 3-48
P
ANORAMIC IMAGING............................................................................................................. 3-49
ECG .................................................................................................................................... 3-51
ETC..................................................................................................................................... 3-52
VCR
PLAY............................................................................................................................ 3-54
D
YNAMICMR ........................................................................................................................ 3-55
S
TRESS ECHO ...................................................................................................................... 3-57
B
IOPSY................................................................................................................................. 3-72
I
MAGE STORE ....................................................................................................................... 3-73
CHAPTER 4. DIAGNOSIS MODES
DIAGNOSIS MODE TYPES AND CONTROL ........................................................... 4-3
DIAGNOSIS MODES ................................................................................................................. 4-3
D
IAGNOSIS MODE SCREENS AND IMAGE INFORMATION.............................................................. 4-3
C
HANGING DIAGNOSIS MODE FORMATS ................................................................................... 4-4
O
PTIMIZING DIAGNOSIS MODE ................................................................................................. 4-5
BASIC MODES.......................................................................................................... 4-7
2D MODE ............................................................................................................................... 4-7
M
MODE ............................................................................................................................... 4-13
C
OLOR DOPPLER MODE ........................................................................................................ 4-16
POWER DOPPLER MODE ....................................................................................................... 4-19
PW
(PULSE WAVE) SPECTRAL DOPPLER MODE...................................................................... 4-21
CW
(CONTINUOUS WAVE) SPECTRAL DOPPLER MODE ........................................................... 4-26
AUTOMATIC CALCULATOR ...................................................................................................... 4-28
COMBINED MODES ............................................................................................... 4-29
2D/C/PW MODE................................................................................................................... 4-29
2D/PD/PW
MODE ................................................................................................................ 4-29
2D/C/CW
MODE................................................................................................................... 4-30
2D/PD/CW
MODE ................................................................................................................ 4-30
2D/C/M
MODE...................................................................................................................... 4-31
D
UAL LIVE MODE .................................................................................................................. 4-31
ACCUVIX XQ Operation Manual
4
MULTI-IMAGE MODES............................................................................................4-32
DUAL-2D MODE ....................................................................................................................4-32
D
UAL-2D/C MODE.................................................................................................................4-32
D
UAL-2D/PD MODE ..............................................................................................................4-33
MULTI-DIMENSIONAL MODES ..............................................................................4-34
MULTI-DIMENSIONAL..............................................................................................................4-34
A
CQUIRING 3D IMAGES ..........................................................................................................4-35
3D
VIEW ...............................................................................................................................4-37
O
PTIMIZING 3D IMAGES .........................................................................................................4-55
3D
XI™ MODE ......................................................................................................................4-64
XI
STIC (OPTIONAL) ..............................................................................................................4-76
CHAPTER 5. MEASUREMENTS AND CALCULATIONS
MEASUREMENT RANGE AND ACCURACY ............................................................................ 5-2
BASIC MEASUREMENTS...........................................................................................5-4
ACTIVATING BASIC MEASUREMENT MODE ..................................................................5-4
BASIC MEASUREMENT MENU.........................................................................................5-5
DISTANCE MEASUREMENT .............................................................................................5-7
CIRCUMFERENCE AND AREA MEASUREMENT ............................................................5-8
VOLUME MEASUREMENT................................................................................................5-9
MEASUREMENT IN M MODE.......................................................................................... 5-11
MEASUREMENT IN SPECTRAL DOPPLER MODE ....................................................... 5-11
CALCULATIONS BY APPLICATION..........................................................................5-13
BASICS OF CALCULATIONS BY APPLICATION ............................................................5-13
OB CALCULATIONS ........................................................................................................5-19
FETAL ECHO CALCULATIONS .......................................................................................5-25
GYN CALCULATIONS......................................................................................................5-30
UROLOGY CALCULATIONS............................................................................................5-32
VASCULAR CALCULATIONS ..........................................................................................5-36
CARDIAC CALCULATIONS .............................................................................................5-40
RADIOLOGY CALCULATION...........................................................................................5-49
REPORT ....................................................................................................................5-51
REPORT FUNCTIONS .....................................................................................................5-51
GRAPH FUNCTION..........................................................................................................5-52
Table of Contents
5
CHAPTER 6. IMAGE MANAGEMENT
REVIEWING IMAGES ............................................................................................... 6-2
SAVING AND VIEWING CINE IMAGES.......................................................................................... 6-2
R
EVIEWING CINE IMAGES IN DUAL LIVE MODE .......................................................................... 6-3
C
INE IMAGE FUNCTION IN MULTI-IMAGE.................................................................................... 6-3
S
AVING AND VIEWING LOOP IMAGES......................................................................................... 6-4
ANNOTATING IMAGES ............................................................................................ 6-5
TYPING TEXT .......................................................................................................................... 6-5
D
ISPLAYING BODY MARKER ..................................................................................................... 6-8
D
ISPLAYING INDICATOR............................................................................................................ 6-9
SAVING AND TRANSFERRING IMAGES .............................................................. 6-11
SAVING IMAGES .....................................................................................................................6-11
T
RANSFERRING IMAGES .........................................................................................................6-11
PRINTING AND RECORDING IMAGES ................................................................. 6-12
PRINTING IMAGES ................................................................................................................. 6-12
R
ECORDING IMAGES ............................................................................................................. 6-12
SONOVIEW ............................................................................................................. 6-14
USING SONOVIEW................................................................................................................. 6-14
P
ATIENT EXAM LIST ............................................................................................................... 6-15
V
IEWING IMAGES – VIEW MODE ............................................................................................. 6-20
T
OOLS.................................................................................................................................. 6-22
CHAPTER 7. MAINTENANCE
SYSTEM MAINTENANCE......................................................................................... 7-2
INSTALLATION REQUIREMENTS ................................................................................................. 7-2
CLEANING AND DISINFECTION................................................................................................... 7-2
F
USE REPLACEMENT............................................................................................................... 7-3
ADMINISTRATION OF INFORMATION .................................................................... 7-5
USER SETTING BACK UP.......................................................................................................... 7-5
P
ATIENT INFORMATION BACK-UP............................................................................................... 7-5
SOFTWARE.......................................................................................................................... 7-5
ACCUVIX XQ Operation Manual
6
CHAPTER 8. PROBES
PROBES ....................................................................................................................8-2
DETERGENT, DISINFECTANT, AND ULTRASOUND GEL..................................................................8-4
S
HEATHS.................................................................................................................................8-5
P
ROBE PRECAUTIONS..............................................................................................................8-6
C
LEANING AND DISINFECTING THE PROBE.................................................................................8-7
BIOPSY ....................................................................................................................8-12
BIOPSY KIT COMPONENTS.....................................................................................................8-12
U
SING THE BIOPSY KIT ..........................................................................................................8-13
C
LEANING AND DISINFECTING BIOPSY KIT...............................................................................8-14
A
SSEMBLING THE BIOPSY KIT.................................................................................................8-15
REFERENCE MANUAL
MEDISON
IS PROVIDING AN ADDITIONAL ACCUVIX XQ REFERENCE MANUAL. GA TABLES AND
REFERENCES FOR EACH APPLICATION ARE INCLUDED IN THE
REFERENCE MANUAL.
OB REFERENCE .......................................................................................................... 4
VASCULAR REFERENCE........................................................................................ 155
UROLOGY REFERENCE ......................................................................................... 157
FETAL ECHO REFERENCE..................................................................................... 159
CARDIOLOGY REFERENCE ................................................................................... 162
ACOUSTIC POWER TABLES .................................................................................. 177
Chapter 1
Safety
SAFETY SIGNS ............................................................................................................. 2
Safety Symbols ......................................................................................................................... 2
Labels ....................................................................................................................................... 4
ELECTRICAL SAFETY .................................................................................................. 5
Prevention of Electric Shock..................................................................................................... 5
ECG-Related Information .........................................................................................................6
ESD........................................................................................................................................... 7
EMI............................................................................................................................................ 7
EMC .......................................................................................................................................... 8
MECHANICAL SAFETY ............................................................................................... 14
Moving the Equipment ............................................................................................................14
Safety Note ............................................................................................................................. 14
BIOLOGICAL SAFETY................................................................................................. 15
ALARA Principle ..................................................................................................................... 15
ENVIRONMENTAL PROTECTION .............................................................................. 26
1 - 2 ACCUVIX XQ Operation Manual
Safety Signs
Please read this chapter before using the MEDISON ultrasound system. It is relevant to the
ultrasound system, the probes, the recording devices, and any of the optional equipment.
ACCUVIX XQ is intended for use by, or by the order of, and under the supervision of, a licensed
physician who is qualified for direct use of the device.
Safety Symbols
The International Electro Technical Commission (IEC) has established a set of symbols for
medical electronic equipment, which classify a connection or warn of potential hazards. The
classifications and symbols are shown below.
Symbols
Description
AC (alternating current) voltage source
Indicates a caution for risk of electric shock.
Isolated patient connection (Type BF applied part).
Power switch (Supplies/cuts the power for product)
Refer to the User Manual.
Identifies an equipotential ground.
Indicates dangerous voltages over 1000V AC or over 1500V DC.
Identifies the point where the system safety ground is fastened to
the chassis. Protective earth connected to conductive parts of
Class I equipment for safety purposes.
Output port
Chapter 1. Safety 1- 3
Input port
Input/Output (I/O) port
Left and right Audio / Video input
Left and right Audio / Video output
Remote print output
Foot switch connector
ECG connector
Protection against the effects of immersion.
Protection against dripping water.
Probe connector
1 - 4 ACCUVIX XQ Operation Manual
Labels
To protect the system, you may see ‘Warning’ or ‘Caution’ marked on the surface of the product.
[Label 1. Marked on the sides of the product]
[Label 2. Marked on the bottom of the product]
[Label 3. Marked below OUTLET]
Chapter 1. Safety 1- 5
Electrical Safety
This equipment has been verified as a Class I device with Type BF applied parts.
CAUTION
As for US requirement, the LEAKAGE CURRENT might be measured
from a center-tapped circuit when the equipment connects in the United
States to 240V supply system.
To help assure grounding reliability, connect to a “hospital grade” or
“hospital only” grounded power outlet.
Prevention of Electric Shock
In a hospital, dangerous currents are due to the potential differences between connected
equipment and touchable conducting parts found in medical rooms. The solution to the problem
is consistent equipotential bonding. Medical equipment is connected with connecting leads
made up of angled sockets to the equipotential bonding network in medical rooms.
[Figure 1.1 Equipotential bonding]
All accessory equipment connected to the digital interfaces must be certified according to the
representative IEC standards (i.e. IEC60950/EN60950 for data processing equipment and
IEC60601-1/EN60601-1 for medical equipment). Furthermore all configurations should comply
with the system standard IEC60601-1-1/EN60601-1-1. Anybody who connects additional
equipment to the signal input part or signal output part configurations of a medical system is
therefore responsible for the system complying with the requirements of IEC60601-1-
1/EN60601-1-1.
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